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Flashcards in Derm Deck (71)
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1

Shave biopsy or full thickness biopsy for melanoma

Full thickness

2

Is shave biopsy okay for BCC

Yes

3

Type of surgery for BCC

MOHs micrographic surgery

4

Recurrence rate of BCC

Less than 5%

5

Describe MOHs microscopic surgery

Removing skin cancer under a dissecting microscope with immediate frozen section; loss of only smallest amount of normal tissue;
No need to remove a wide margin

6

Mohs surgery is best for what location

DELICATE areas--- eyelid or ear

7

2 other places you find kaposis sarcoma

GI
LUNG

8

AIDS from injecting drugs or sexual contact more likely to give kaposis sarcoma

SEXUAL CONTACT

9

Treatment of kaposis sarcoma

HAART (no need to do surgery)
- intra lesions vincristine or IFN
- liposomal doxorubicin= last resort

10

Age of atopic dermatitis

Before 30yo

11

Lichenified

Thickened skin from scratching

12

Scaly rough areas of thickened skin

Eczema

13

What is common with eczema

Secondary infection with S aureus

14

Do food allergies exacerbate atopic dermatitis

NOOOO

15

Tx of eczema skin care

1. Stay moisturized -- lotion and humidifier
2. Avoid bathing, soaps and washcloths
3. Cotton> wool

16

Medical tx eczema

1. Topical steroids
2. Tacrolimus or pimecrolimus-- helps them GET OFF steroids
3. Antihistamines
4. Antibiotics
5. UVB -- severe recalcitrant disease

17

Use of tacrolimus or pimecrolimus in eczema

Helping them GET OFF steroids

18

Severe eczema which anti-histamine

DOXEPINE

19

Mild eczema antihistamines

NON- sedating
Cetirizine, fexofenadine, loratadine

20

Which antibiotics when impetigo in eczema

Cephalexin
Mupirocin
Retapamulin

21

Risk of tacrolimus and pimecrolimus giving lymphoma

LOW RISK

22

Tx of psoriasis local disease

- topical steroids
- vit A and D
- coal tar
- tacrolimus and pimecrolimus

23

Tacrolimus and pimecrolimus use in psoriasis

FACE and PENIS since less potentially deforming

24

How do steroids cause skin atrophy

Inhibit collagen formation and growth
Try and convert all amino acids into glucose for gluconeogenesis

25

Worst prognostic factor skin cancer

Growing lesions

26

Tx of extensive psoriasis

1. UV light
2. Anti-TND
3. MTX

27

Seborrheic dermatitis= dandruff

Hypersensitivity to dermal infection

28

Seborrheic = same as....

benign

29

Dandruff more common in patients with

AIDS
Parkinson's disease

30

What drug associated with pemphigus vulgaris

ACE inhibitors